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Alabama rates for HCPCS 57308

Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,818.38 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $1,071.52